Browse publications by year: 2013

  1. Naqeebullah, Farina Y, Chan KM, Mun LK, Rajab NF, Ooi TC
    Molecules, 2013 Jul 22;18(7):8696-711.
    PMID: 23881054 DOI: 10.3390/molecules18078696
    Three diorganotin(IV) complexes of the general formula R2Sn[RcC(O)N(RN)O] (Rc = aryl, RN = Alkyl) have been synthesized by refluxing in toluene the corresponding diorganotin(IV) oxides with the free ligand N-methyl p-fluorobenzohydroxamic acid, using a Dean and Stark water separator. The ligand was derived from the reaction of the corresponding p-fluorobenzoyl chloride and N-methylhydroxylamine hydrochloride in the presence of sodium hydrogen carbonate. The isolated free ligand and its respective diorganotin compounds have been characterized by elemental analysis, IR and 1H-, 13C-, 119Sn-NMR spectroscopies. The crystal structures of the diorganotin complexes have been confirmed by single crystal X-ray diffraction methods. The investigations carried out on the diorganotin(IV) complexes of N-methyl p-fluorobenzohydroxamic acid confirmed a 1:2 stoichiometry. The complex formation took place through the O,O-coordination via the carbonyl oxygen and subsequent deprotonated hydroxyl group to the tin atom. The crystal structures of three diorganotin complexes were determined and were found to adopt six coordination geometries at the tin centre with coordination to two ligand moieties.
    MeSH terms: Humans; Ligands; Models, Molecular; Magnetic Resonance Spectroscopy; Molecular Structure; Crystallography, X-Ray; HCT116 Cells; Cell Line, Tumor
  2. Chong SS, Aziz AR, Harun SW
    Sensors (Basel), 2013 Jul 05;13(7):8640-68.
    PMID: 23881131 DOI: 10.3390/s130708640
    Demand for online and real-time measurements techniques to meet environmental regulation and treatment compliance are increasing. However the conventional techniques, which involve scheduled sampling and chemical analysis can be expensive and time consuming. Therefore cheaper and faster alternatives to monitor wastewater characteristics are required as alternatives to conventional methods. This paper reviews existing conventional techniques and optical and fibre optic sensors to determine selected wastewater characteristics which are colour, Chemical Oxygen Demand (COD) and Biological Oxygen Demand (BOD). The review confirms that with appropriate configuration, calibration and fibre features the parameters can be determined with accuracy comparable to conventional method. With more research in this area, the potential for using FOS for online and real-time measurement of more wastewater parameters for various types of industrial effluent are promising.
    MeSH terms: Environmental Monitoring/methods*; Fiber Optic Technology/methods*; Industrial Waste/analysis*; Biological Oxygen Demand Analysis; Waste Water/analysis*; Waste Water/chemistry
  3. Ahmad H, Zulkifli MZ, Muhammad FD, Samangun JM, Abdul-Rashid HA, Harun SW
    Sensors (Basel), 2013;13(7):9536-46.
    PMID: 23881146 DOI: 10.3390/s130709536
    A fiber based bend sensor using a uniquely designed Bend-Sensitive Erbium Doped Fiber (BSEDF) is proposed and demonstrated. The BSEDF has two core regions, namely an undoped outer region with a diameter of about 9.38 μm encompassing a doped, inner core region with a diameter of 4.00 μm. The doped core region has about 400 ppm of an Er2O3 dopant. Pumping the BSEDF with a conventional 980 nm laser diode gives an Amplified Spontaneous Emission (ASE) spectrum spanning from 1,510 nm to over 1,560 nm at the output power level of about -58 dBm. The ASE spectrum has a peak power of -52 dBm at a central wavelength of 1,533 nm when not spooled. Spooling the BSEDF with diameters of 10 cm to 2 cm yields decreasing peak powers from -57.0 dBm to -61.8 dBm, while the central wavelength remains unchanged. The output is highly stable over time, with a low temperature sensitivity of around ~0.005 dBm/°C, thus allowing for the development of a highly stable sensor system based in the change of the peak power alone.
    MeSH terms: Dietary Fiber; Erbium; Temperature; Lasers, Semiconductor; Laxatives
  4. Eshraghi A, Osman NA, Gholizadeh H, Ahmadian J, Rahmati B, Abas WA
    Sci Rep, 2013;3:2270.
    PMID: 23881340 DOI: 10.1038/srep02270
    Individuals with lower limb amputation need a secure suspension system for their prosthetic devices. A new coupling system was developed that is capable of suspending the prosthesis. The system's safety is ensured through an acoustic alarm system. This article explains how the system works and provides an in vivo evaluation of the device with regard to pistoning during walking. The system was designed to be used with silicone liners and is based on the requirements of prosthetic suspension systems. Mechanical testing was performed using a universal testing machine. The pistoning during walking was measured using a motion analysis system. The new coupling device produced significantly less pistoning compared to a common suspension system (pin/lock). The safety alarm system would buzz if the suspension was going to fail. The new coupling system could securely suspend the prostheses in transtibial amputees and produced less vertical movement than the pin/lock system.
    MeSH terms: Artificial Limbs*; Biomechanical Phenomena; Humans; Lower Extremity*
  5. Peikari HR, Zakaria MS, Yasin NM, Shah MH, Elhissi A
    Healthc Inform Res, 2013 Jun;19(2):93-101.
    PMID: 23882414 DOI: 10.4258/hir.2013.19.2.93
    Some hospitals have implemented computerized physician order entry (CPOE) systems to reduce the medical error rates. However, research in this area has been very limited, especially regarding the impact of CPOE use on the reduction of prescribing errors. Moreover, the past studies have dealt with the overall impact of CPOE on the reduction of broadly termed "medical errors", and they have not specified which medical errors have been reduced by CPOE. Furthermore, the majority of the past research in this field has been either qualitative or has not used robust empirical techniques. This research examined the impacts of usability of CPOE systems on the reduction of doctors' prescribing errors.
  6. Singh R, Ong-Abdullah M, Low ET, Manaf MA, Rosli R, Nookiah R, et al.
    Nature, 2013 Aug 15;500(7462):335-9.
    PMID: 23883927 DOI: 10.1038/nature12309
    Oil palm is the most productive oil-bearing crop. Although it is planted on only 5% of the total world vegetable oil acreage, palm oil accounts for 33% of vegetable oil and 45% of edible oil worldwide, but increased cultivation competes with dwindling rainforest reserves. We report the 1.8-gigabase (Gb) genome sequence of the African oil palm Elaeis guineensis, the predominant source of worldwide oil production. A total of 1.535 Gb of assembled sequence and transcriptome data from 30 tissue types were used to predict at least 34,802 genes, including oil biosynthesis genes and homologues of WRINKLED1 (WRI1), and other transcriptional regulators, which are highly expressed in the kernel. We also report the draft sequence of the South American oil palm Elaeis oleifera, which has the same number of chromosomes (2n = 32) and produces fertile interspecific hybrids with E. guineensis but seems to have diverged in the New World. Segmental duplications of chromosome arms define the palaeotetraploid origin of palm trees. The oil palm sequence enables the discovery of genes for important traits as well as somaclonal epigenetic alterations that restrict the use of clones in commercial plantings, and should therefore help to achieve sustainability for biofuels and edible oils, reducing the rainforest footprint of this tropical plantation crop.
    MeSH terms: Models, Genetic; Molecular Sequence Data; Phylogeny*; Genome, Plant/genetics*; Arecaceae/classification*; Arecaceae/genetics*; Chromosomes, Plant/genetics; Carbohydrate Metabolism/genetics; Lipid Metabolism/genetics
  7. Singh R, Low ET, Ooi LC, Ong-Abdullah M, Ting NC, Nagappan J, et al.
    Nature, 2013 Aug 15;500(7462):340-4.
    PMID: 23883930 DOI: 10.1038/nature12356
    A key event in the domestication and breeding of the oil palm Elaeis guineensis was loss of the thick coconut-like shell surrounding the kernel. Modern E. guineensis has three fruit forms, dura (thick-shelled), pisifera (shell-less) and tenera (thin-shelled), a hybrid between dura and pisifera. The pisifera palm is usually female-sterile. The tenera palm yields far more oil than dura, and is the basis for commercial palm oil production in all of southeast Asia. Here we describe the mapping and identification of the SHELL gene responsible for the different fruit forms. Using homozygosity mapping by sequencing, we found two independent mutations in the DNA-binding domain of a homologue of the MADS-box gene SEEDSTICK (STK, also known as AGAMOUS-LIKE 11), which controls ovule identity and seed development in Arabidopsis. The SHELL gene is responsible for the tenera phenotype in both cultivated and wild palms from sub-Saharan Africa, and our findings provide a genetic explanation for the single gene hybrid vigour (or heterosis) attributed to SHELL, via heterodimerization. This gene mutation explains the single most important economic trait in oil palm, and has implications for the competing interests of global edible oil production, biofuels and rainforest conservation.
    MeSH terms: Amino Acid Sequence; Chromosome Mapping; Homozygote; Molecular Sequence Data; Mutation; Plant Oils*; Genetic Variation; Sequence Alignment; Genes, Plant/genetics*; Gene Expression Regulation, Plant; Gene Expression Profiling; MADS Domain Proteins/genetics; Arecaceae/genetics*; Arecaceae/metabolism*; Arabidopsis Proteins/genetics
  8. Ibrahim MH, Jaafar HZ
    Molecules, 2013 Jul 05;18(7):7957-76.
    PMID: 23884129 DOI: 10.3390/molecules18077957
    An experiment was conducted to investigate and distinguish the relationships in the production of total phenolics, total flavonoids, soluble sugars, H2O2, O2-, phenylalanine ammonia lyase (PAL) activity, leaf gas exchange, antioxidant activity, antioxidant enzyme activity [ascorbate peroxidase (APX), catalase (CAT), superoxide dismutase (SOD) and Lipoxygenase inhibitory activity (LOX)] under four levels of foliar abscisic acid (ABA) application (0, 2, 4, 6 µM) for 15 weeks in Orthosiphon stamineus Benth. It was found that the production of plant secondary metabolites, soluble sugars, antioxidant activity, PAL activity and LOX inhibitory activity was influenced by foliar application of ABA. As the concentration of ABA was increased from 0 to 6 µM the production of total phenolics, flavonoids, sucrose, H2O2, O2-, PAL activity and LOX inhibitory activity was enhanced. It was also observed that the antioxidant capabilities (DPPH and ORAC) were increased. This was followed by increases in production of antioxidant enzymes APX, CAT and SOD. Under high application rates of ABA the net photosynthesis and stomatal conductance was found to be reduced. The production of primary and secondary metabolites displayed a significant positive relationship with H2O2 (total phenolics, r2 = 0.877; total flavonoids, r2 = 0.812; p ≤ 0.05) and O2- (total phenolics, r2 = 0.778; total flavonoids, r2 = 0.912; p ≤ 0.05). This indicated that increased oxidative stress at high application rates of ABA, improved the production of phytochemicals.
    MeSH terms: Abscisic Acid/pharmacology*; Antioxidants/metabolism*; Antioxidants/pharmacology; Catalase/metabolism; Hydrogen Peroxide; Lipoxygenase/metabolism; Photosynthesis/drug effects*; Superoxide Dismutase/metabolism; Oxidative Stress/drug effects*; Plant Leaves/metabolism; Orthosiphon/enzymology; Orthosiphon/metabolism*; Ascorbate Peroxidases/metabolism
  9. Nasrullah AA, Zahari A, Mohamad J, Awang K
    Molecules, 2013 Jul 08;18(7):8009-17.
    PMID: 23884132 DOI: 10.3390/molecules18078009
    A dichloromethane extract of the stem bark of Cryptocarya nigra showed strong in vitro inhibition of Plasmodium falciparum growth, with an IC50 value of 2.82 μg/mL. The phytochemical study of this extract has led to the isolation and characterization of four known alkaloids: (+)-N-methylisococlaurine (1), atherosperminine (2), 2-hydroxyathersperminine (3), and noratherosperminine (4). Structural elucidation of all alkaloids was accomplished by means of high field 1D- and 2D-NMR, IR, UV and LCMS spectral data. The isolated extract constituents (+)-N-methylisococlaurine (1), atherosperminine (2) and 2-hydroxy-atherosperminine (3) showed strong antiplasmodial activity, with IC50 values of 5.40, 5.80 and 0.75 μM, respectively. In addition, (+)-N-methylisocolaurine (1) and atherosperminine (2) showed high antioxidant activity in a DPPH assay with IC50 values of 29.56 ug/mL and 54.53 ug/mL respectively. Compounds 1 and 2 also both showed high antioxidant activity in the FRAP assay, with percentages of 78.54 and 70.66 respectively and in the metal chelating assay, with IC50 values of 50.08 ug/mL and 42.87 ug/mL, respectively.
    MeSH terms: Alkaloids/isolation & purification; Alkaloids/pharmacology*; Alkaloids/chemistry; Antimalarials/isolation & purification; Antimalarials/pharmacology*; Antimalarials/chemistry; Humans; Isoquinolines/isolation & purification; Isoquinolines/pharmacology; Isoquinolines/chemistry; Malaria/drug therapy; Malaria/parasitology*; Magnetic Resonance Spectroscopy; Phenanthrenes/isolation & purification; Phenanthrenes/pharmacology; Phenanthrenes/chemistry; Plant Extracts/pharmacology; Plant Extracts/chemistry; Plasmodium falciparum/drug effects*; Molecular Structure; Plant Bark/chemistry; Cryptocarya/chemistry
  10. Nor SM, Sukari MA, Azziz SS, Fah WC, Alimon H, Juhan SF
    Molecules, 2013 Jul 08;18(7):8046-62.
    PMID: 23884135 DOI: 10.3390/molecules18078046
    Aminoanthraquinones were successfully synthesized via two reaction steps. 1,4-Dihydroxyanthraquinone (1) was first subjected to methylation, reduction and acylation to give an excellent yield of anthracene-1,4-dione (3), 1,4-dimethoxyanthracene-9,10-dione (5) and 9,10-dioxo-9,10-dihydroanthracene-1,4-diyl diacetate (7). Treatment of 1, 3, 5 and 7 with BuNH2 in the presence of PhI(OAc)2 as catalyst produced seven aminoanthraquinone derivatives 1a, b, 3a, and 5a-d. Amination of 3 and 5 afforded three new aminoanthraquinones, namely 2-(butylamino)anthracene-1,4-dione (3a), 2-(butylamino)anthracene-9,10-dione (5a) and 2,3-(dibutylamino)anthracene-9,10-dione (5b). All newly synthesised aminoanthraquinones were examined for their cytotoxic activity against MCF-7 (estrogen receptor positive human breast) and Hep-G2 (human hepatocellular liver carcinoma) cancer cells using MTT assay. Aminoanthraquinones 3a, 5a and 5b exhibited strong cytotoxicity towards both cancer cell lines (IC50 1.1-13.0 µg/mL).
    MeSH terms: Anthraquinones/chemical synthesis*; Anthraquinones/pharmacology*; Anthraquinones/chemistry; Humans; Structure-Activity Relationship; Molecular Structure; Cell Proliferation/drug effects*; Hep G2 Cells/drug effects; MCF-7 Cells/drug effects
  11. Saleem AM, Taufik Hidayat M, Jais AM, Fakurazi S, Moklas MA, Sulaiman MR, et al.
    Eur Rev Med Pharmacol Sci, 2013;17(15):2019-22.
    PMID: 23884821
    BACKGROUND: In our previous study, the aqueous extract of Channa striatus (family: Channidae) fillet (AECSF) showed an antidepressant-like effect in mice. However, the mechanism of the antidepressant-like effect is unknown.
    AIM: The objective of this study was to explore the involvement of monoamines in the antidepressant-like effect of AECSF in mice.
    MATERIALS AND METHODS: AECSF was prepared by steaming the fillets of C. striatus. The male ICR mice were pretreated with various monoaminergic antagonists viz., p-chlorophenylalanine (100 mg/kg, i.p.), prazosin (1 mg/kg, i.p.) and yohimbine (1 mg/kg, i.p.), SCH23390 (0.05 mg/kg, s.c.) and sulpiride (50 mg/kg, i.p.) followed by treatment with AECSF and tested in tail suspension test (TST). Two-way ANOVA with Tukey test were used at p < 0.05 for significance.
    RESULTS: The pretreatments with p-chlorophenylalanine, prazosin and yohimbine, but not with SCH23390 and sulpiride, were able to reverse the antidepressant-like effect of AECSF in TST.
    CONCLUSIONS: The antidepressant-like effect of AECSF may be mediated through the serotonergic and noradrenergic systems and not through the dopaminergic system.
    MeSH terms: Adrenergic Agonists/pharmacology; Animals; Antidepressive Agents/pharmacology*; Benzazepines/pharmacology; Depression/metabolism; Fishes*; Male; Mice, Inbred ICR; Fenclonine/analogs & derivatives; Fenclonine/pharmacology; Prazosin/pharmacology; Serotonin/metabolism; Serotonin Antagonists/pharmacology; Yohimbine/pharmacology; Serotonin Receptor Agonists/pharmacology*; Hindlimb Suspension; Complex Mixtures/pharmacology*; Adrenergic alpha-1 Receptor Antagonists/pharmacology; Adrenergic alpha-2 Receptor Antagonists/pharmacology; Dopamine D2 Receptor Antagonists/pharmacology
  12. López-Quintero CA, Atanasova L, Franco-Molano AE, Gams W, Komon-Zelazowska M, Theelen B, et al.
    Antonie Van Leeuwenhoek, 2013 Nov;104(5):657-74.
    PMID: 23884864 DOI: 10.1007/s10482-013-9975-4
    The diversity of Trichoderma (Hypocreales, Ascomycota) colonizing leaf litter as well as the rhizosphere of Garcinia macrophylla (Clusiaceae) was investigated in primary and secondary rain forests in Colombian Amazonia. DNA barcoding of 107 strains based on the internal transcribed spacers 1 and 2 (ITS1 and 2) of the ribosomal RNA gene cluster and the partial sequence of the translation elongation factor 1 alpha (tef1) gene revealed that the diversity of Trichoderma was dominated (71 %) by three common cosmopolitan species, namely Trichoderma harzianum sensu lato (41 %), Trichoderma spirale (17 %) and Trichoderma koningiopsis (13 %). Four ITS 1 and 2 phylotypes (13 strains) could not be identified with certainty. Multigene phylogenetic analysis and phenotype profiling of four strains with an ITS1 and 2 phylotype similar to Trichoderma strigosum revealed a new sister species of the latter that is described here as Trichoderma strigosellum sp. nov. Sequence similarity searches revealed that this species also occurs in soils of Malaysia and Cameroon, suggesting a pantropical distribution.
    MeSH terms: Colombia; DNA, Fungal/genetics; DNA, Fungal/chemistry; Haplotypes; Microbiological Techniques; Microscopy; Molecular Sequence Data; Phylogeny; Soil Microbiology*; Trichoderma/classification*; Trichoderma/cytology; Trichoderma/genetics*; Trichoderma/isolation & purification; Cluster Analysis; Sequence Analysis, DNA; DNA, Ribosomal Spacer/genetics; DNA, Ribosomal Spacer/chemistry; Biodiversity*; DNA Barcoding, Taxonomic*
  13. Al-Qubaisi MS, Rasedee A, Flaifel MH, Ahmad SH, Hussein-Al-Ali S, Hussein MZ, et al.
    Int J Nanomedicine, 2013;8:2497-508.
    PMID: 23885175 DOI: 10.2147/IJN.S42367
    In this study, in vitro cytotoxicity of nickel zinc (NiZn) ferrite nanoparticles against human colon cancer HT29, breast cancer MCF7, and liver cancer HepG2 cells was examined. The morphology, homogeneity, and elemental composition of NiZn ferrite nanoparticles were investigated by scanning electron microscopy, transmission electron microscopy, and energy dispersive X-ray spectroscopy, respectively. The exposure of cancer cells to NiZn ferrite nanoparticles (15.6-1,000 μg/mL; 72 hours) has resulted in a dose-dependent inhibition of cell growth determined by MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay. The quantification of caspase-3 and -9 activities and DNA fragmentation to assess the cell death pathway of the treated cells showed that both were stimulated when exposed to NiZn ferrite nanoparticles. Light microscopy examination of the cells exposed to NiZn ferrite nanoparticles demonstrated significant changes in cellular morphology. The HepG2 cells were most prone to apoptosis among the three cells lines examined, as the result of treatment with NiZn nanoparticles. In conclusion, NiZn ferrite nanoparticles are suggested to have potential cytotoxicity against cancer cells.
    MeSH terms: Antineoplastic Agents/pharmacology*; Antineoplastic Agents/chemistry; Cell Survival/drug effects*; Drug Carriers/chemistry*; Ferric Compounds/pharmacology*; Ferric Compounds/chemistry; Humans; Nickel/pharmacology*; Nickel/chemistry; Particle Size; Spectrophotometry, Infrared; X-Ray Diffraction; Zinc Compounds/pharmacology*; Zinc Compounds/chemistry; Statistics, Nonparametric; Cell Line, Tumor; Cell Shape/drug effects; Cell Proliferation/drug effects; Caspase 3/metabolism; Caspase 9/metabolism; Metal Nanoparticles/chemistry*; DNA Fragmentation/drug effects
  14. Safitri Zen I, Ahamad R, Gopal Rampal K, Omar W
    Int J Occup Environ Health, 2013 Jul-Sep;19(3):169-78.
    PMID: 23885771 DOI: 10.1179/2049396713Y.0000000028
    Malaysia has partially banned the use of asbestos. The prohibition of asbestos building materials in schools, clinics, and hospitals built by government started in 1999. Since 2005, prohibition has also been applied to all government buildings. However, asbestos construction materials such as roof and ceiling tiles are still sold in the market. There are no acts or regulations prohibiting the use of asbestos in private buildings in Malaysia. Asbestos was first used for industrial purposes in Malaysia in the 1960s and the first regulations related to asbestos have been around since the 1980s. Non-governmental organizations have been pushing the government to impose a total ban since the 1980s. Asbestos is still used in the manufacturing sector under the "control use" concept. The study found difficulties in established and validated medical record data on asbestos-related diseases. This paper reviews existing asbestos-related regulations and guidelines in Malaysia and discusses the urgency for a total ban in the use of asbestos in building materials in the country. In the meanwhile, stricter enforcement of occupational safety and health regulations related to the use and exposure of asbestos among workers in the manufacturing, construction, maintenance, and demolition sectors has been in place.
    MeSH terms: Asbestos*; Construction Materials/standards*; Humans; Malaysia; Occupational Diseases/prevention & control; Occupational Health/legislation & jurisprudence*; Occupational Health/standards; Occupational Exposure/legislation & jurisprudence*; Occupational Exposure/prevention & control*
  15. Salih N, Salimon J, Yousif E, Abdullah BM
    Chem Cent J, 2013;7(1):128.
    PMID: 23885790 DOI: 10.1186/1752-153X-7-128
    Plant oils have been investigated as a potential source of environmentally favorable biolubricants because of their biodegradability, renewability and excellent lubrication performance. Low oxidation and thermal stability, poor low-temperature properties and a narrow range of available viscosities, however, limit their potential application as industrial lubricants. The inherent problems of plant oils can be improved by attaching functional groups at the sites of unsaturation through chemical modifications. In this article, we will demonstrate how functionalization helps overcome these disadvantages.
  16. Jeganathan PD, Hairi NN, Al Sadat N, Chinna K
    Asian Pac J Cancer Prev, 2013;14(6):3483-9.
    PMID: 23886133
    BACKGROUND: To identify the prevalence of different stages of smoking and differences in associated risk factors.

    MATERIALS AND METHODS: Thos longitudinal study started in February 2011 and the subjects were 2552 form one students aged between twelve to thirteen years of from 15 government secondary schools of Kinta, Perak. Data on demographic, parental, school and peer factors were collected using a self-administered questionnaire. We examined the effects of peer, school and parental factors on the five stages of smoking; never smokers, susceptible never smokers, experimenters, current smokers and ex-smokers, at baseline.

    RESULTS: In the sample, 19.3% were susceptible never smokers, 5.5% were current smokers 6% were experimenters and 3.1% were ex-smokers. Gender, ethnicity, best friends' smoking status, high peer pressure, higher number of relatives who smoked and parental monitoring were found to be associated with smoking stages. Presence of parent-teen conflict was only associated with susceptible never smokers and experimenters whereas absence of home discussion on smoking hazards was associated with susceptible never smokers and current smokers.

    CONCLUSIONS: We identified variations in the factors associated with the different stages of smoking. Our results highlight that anti-smoking strategies should be tailored according to the different smoking stages.

    MeSH terms: Adolescent; Adolescent Behavior*; Female; Follow-Up Studies; Humans; Longitudinal Studies; Malaysia/epidemiology; Male; Parents*; Peer Group*; Prognosis; Surveys and Questionnaires; Risk Factors; Schools*; Smoking/epidemiology*; Smoking/psychology; Students/statistics & numerical data*; Prevalence; Case-Control Studies
  17. Merriam S, Muhamad M
    Asian Pac J Cancer Prev, 2013;14(6):3593-601.
    PMID: 23886151
    BACKGROUND: For a number of reasons from cultural compatibility, to accessibility, to cost, traditional healers are a major source of health care in developing countries. In Malaysia, 'en estimated that upwards of 80% of the population consult traditional healers even if simultaneously seeking treatment from the Western medical system. Partially as a result of the widespread practice of visiting traditional healers, cancer diagnosis and treatment in Malaysia is often delayed or interrupted resulting in late presentation, advanced stage diagnosis, and a higher mortality rate than in Western countries. However, there is very little research on the role of traditional healers in cancer treatment in Malaysia.

    MATERIALS AND METHODS: This qualitative study was designed to identify the roles traditional healers play in cancer diagnosis and treatment, with an eye to alleviating the cancer burden through educational responses with four publics in mind-policy makers, Western medical personnel, traditional healers, and the general public. In-depth interviews were conducted with 14 Malay traditional healers, 13 cancer survivors who had seen both traditional healers and Western doctors, and 12 cancer medical specialists.

    RESULTS: Analysis of the data from these 39 participants revealed four roles traditional healers play in cancer treatment-medicinal healer, emotional comforter, spiritual guide, and palliative caregiver.

    CONCLUSIONS: Three roles (emotional, spiritual, palliative) can be seen as complementary to the allopathic system. Emotional and spiritual roles may augment the effectiveness of biomedical treatment. Cancer awareness and education programs need to position traditional healers as complementary, rather than an alternative to Western medical treatment; Validating the roles Traditional Healers can play in cancer treatment in MY through health promotion and education will contribute to alleviating the nation's cancer burden.

    MeSH terms: Adult; Aged; Aged, 80 and over; Complementary Therapies/education*; Female; Follow-Up Studies; Health Promotion*; Humans; Malaysia; Male; Medicine, Traditional*; Middle Aged; Neoplasms/prevention & control*; Neoplasms/psychology; Patient Acceptance of Health Care*; Prognosis; Referral and Consultation
  18. Yusuf A, Ab Hadi IS, Mahamood Z, Ahmad Z, Keng SL
    Asian Pac J Cancer Prev, 2013;14(6):3689-98.
    PMID: 23886167
    Breast cancer is the most common and leading cause of cancer mortality among Malaysian women. Despite good survival rates, the diagnosis of cancer still invokes the feeling of stress, fear and uncertainty. Because very little is known about the experiences of Malaysian women with breast cancer, a qualitative study using semi- structured interviews to explore the lived experience of newly diagnosed breast cancer. Using a purposive sampling method, 20 Malaysian women newly diagnosed with breast cancer, including Malays (n=10) and Chinese (n=10) were recruited in two main public hospitals in Kelantan. Similarities and divergence in women's experience were identified through thematic analysis of interview transcripts. Three themes emerged from the data: uncertainty experience of the illness, transition process and fatalistic view of breast cancer. In many ways, these findings were parallel with previous studies, suggesting that the experience of breast cancer is to a certain extent similar among women newly diagnosed with breast cancer. This study adds to the sparse literature concerning the experience of illness following breast cancer diagnosis among the Malays and Chinese. More importantly, this study addressed areas that were previously lacking, specifically in depth information on breast cancer experience from a developing country with a multi-ethnic population. The results of this investigation provide preliminary information to healthcare professionals on the impact of illness and cultural influence on survivorship to plan for appropriate education and supportive programme in order to meet the needs of breast cancer women more effectively.
    MeSH terms: Adaptation, Psychological*; Adult; Attitude to Health*; Breast Neoplasms/ethnology*; Breast Neoplasms/psychology*; Ethnic Groups/statistics & numerical data*; Female; Follow-Up Studies; Humans; Malaysia; Middle Aged; Prognosis; Qualitative Research*
  19. Loh KW, Majid HA, Dahlui M, Roslani AC, Su TT
    Asian Pac J Cancer Prev, 2013;14(6):3799-804.
    PMID: 23886185
    BACKGROUND: Colorectal cancer is the second most common cancer in Malaysia. The prognosis of the disease is excellent if detected at an early stage, but the majority of Malaysian patients present at late stages. We aimed to assess the awareness of cancer warning signs and anticipated delay in help-seeking as possible contributors to this phenomenon.

    MATERIALS AND METHODS: A population-based cross-sectional survey using the Colorectal Cancer Awareness Measure was initiated in Perak, Malaysia. A total of 2,379 respondents aged 18 years and above were recruited using a multi-stage sampling in five locations. Analysis of covariance was used to examine independent sociodemographic predictors of scores for symptom awareness.

    RESULTS: Younger age, being female, a higher education, and higher income were significantly associated with better scores for both recall and recognition of warning symptoms. Among the ethnic groups, Malays had better recognition of symptoms whereas Chinese recalled the most symptoms. Passing bloody stool was associated with the least anticipated delay and unexplained anal pain had the highest anticipated delay.

    CONCLUSIONS: The level of awareness across all ethnicities in Malaysia is generally low, especially among minorities. Targeted public education, which is culturally and linguistically appropriate, should be developed to encourage early help-seeking and improve clinical outcomes.
    MeSH terms: Adolescent; Adult; Aged; Awareness*; Cross-Sectional Studies; Ethnic Groups/statistics & numerical data*; Female; Follow-Up Studies; Health Services/statistics & numerical data*; Humans; India/epidemiology; Health Knowledge, Attitudes, Practice*; Male; Middle Aged; Pilot Projects; Prognosis; Colorectal Neoplasms/diagnosis*; Colorectal Neoplasms/epidemiology*; Colorectal Neoplasms/psychology; Young Adult; Delayed Diagnosis*
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